<wicket:panel xmlns:wicket="http://wicket.apache.org">
	<form wicket:id="form">
		<table>
			<tr>
				<td><label wicket:for="cardNumber"> <wicket:message
							key="t.card.cardNumber" />:
				</label></td>
				<td><input type="text" wicket:id="cardNumber" /></td>
			</tr>
			<tr>
				<td><label wicket:for="account"> <wicket:message
							key="t.card.account" />:
				</label></td>
				<td><select wicket:id="account"></select></td>
			</tr>
			<tr>
				<td><label wicket:for="owner"> <wicket:message
							key="t.card.owner" />:
				</label></td>
				<td><select wicket:id="owner"></select></td>
			</tr>
			<tr>
				<td><label wicket:for="isBlocked"> <wicket:message
							key="t.card.isBlocked" />:
				</label></td>
				<td><input type="checkbox" wicket:id="isBlocked" /></td>
			</tr>
		</table>
		<div style="text-align: center;">
			<button type="submit" wicket:id="save">
				<wicket:message key="b.save" />
			</button>
		</div>
	</form>
</wicket:panel>